Individual
MR. CARLIE ARTHUR TESTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN / C.R.N.A.
Contact information
Practice address
130 EMILY DRIVE, MOORE, SC 29369
(864) 249-3156
(864) 249-3156
Mailing address
130 EMILY DR, MOORE, SC 29369-8478
(864) 249-3156
(864) 249-3156
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
3947
SC
163W00000X
Registered Nurse
83492
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
039045
IL
Other
Enumeration date
01/08/2007
Last updated
05/17/2013
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